Report of wrongdoing - Disclosure form

The Public Interest Disclosure Act allows current and former employees of eligible government bodies to report allegations of serious or systemic wrongdoing to their supervisor, Designated officer, or to the Office of the Ombudsperson.

The Designated Officer will use the information provided when assessing whether to investigate your report. If you require assistance completing this form, please contact your supervisor or Designated Officer.

Items with a star “*” next to them are required fields.

Contact information

First name

Last name

Preferred pronouns (optional)

How would you like to be contacted?

Phone

Mail

Your email

Your phone number

Your address

City/Town

ZIP/Postal Code

Country

May we leave a voice message?

Yes

Please tell us if you require any assistance or experience any accessibility barriers in communicating with our office so that we can ensure your full participation in this process.

Important: Reports can be made anonymously, but we may not be able to investigate without obtaining more information from you.

Employment information

What is your relationship with Royal Roads University?

I work at RRU now

I used to work at RRU

When did you work at RRU? (Please enter the start and end dates)

Job title:

Important: Wrongdoing may only be disclosed under the Act by a current or former employee of a public sector organization covered by PIDA. In order to determine that you are legally entitled to make a disclosure under the Act we may ask you to provide evidence that you are a current or former employee.

Description of wrongdoing

The Public Interest Disclosure Act of BC applies to the following types of wrongdoing:

a serious act or failure to act that, if proven, would constitute an offence under an enactment of British Columbia or Canada
an act or failure to act that creates a substantial and specific danger to the life, health or safety of persons, or to the environment, other than a danger that is inherent in the performance of an employee's duties or functions
a serious misuse of public funds or public assets
gross or systemic mismanagement
knowingly directing or counselling a person to commit a wrongdoing described above

Examples of Improper Activity (RRU Safe Disclosure Policy) include but are not limited to:

failure to comply with university policy, procedure, regulatory or legal obligation;
endangering health or safety;
criminal activity;
misuse of public funds or resources;
improper conduct or unethical behaviour;
theft, fraud, misappropriation of university assets, forgery, falsification or alteration of documents
attempts to conceal an Improper Activity;
personally accepting or seeking anything of material value from contractors, vendors or persons providing or seeking to provide goods or services to the university. For clarity, this shall not include free samples of teaching materials;
knowingly authorizing, directing or counselling a person to commit or conceal an Improper Activity;
obstructing a person from reporting an Improper Activity;
knowingly making a malicious, frivolous, or vexatious disclosure;
initiating or participating in an act of reprisal; and
obstructing an investigation into a disclosure of Improper Activity or reprisal.

1) Please describe your concerns, keeping in mind how wrongdoing is defined, above. Explain how you learned about the wrongdoing and provide as much detail about the specific allegations as possible.

In your response above, please include the following in your answer above:

Where the wrongdoing happened or is likely to happen
Who committed or is about to commit wrongdoing (name, title and contact information)
When the wrongdoing occurred or is expected to occur
Please identify any applicable laws, Acts, Regulations or policies that may apply in relation to the wrongdoing

2) Have you reported the wrongdoing to any other person or organization? Please provide details of who you reported to, when, their response and contact information.

3) Do you know of any other organization that is addressing these allegations? Please provide details.

4) Do you consider this matter urgent? If so, explain why.

Declaration

I have provided this information in good faith and on the reasonable belief that it could show a wrongdoing has occurred or is about to occur.